NPIMap

Individual provider Active NPI

Jason Miller, PA

  • Physician Assistant
  • Savannah, GA
National Provider Identifier
1023544111
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008339 Issued in GA
Practice address
4425 Paulsen St
Savannah, GA 31405-3662
Phone
(912) 355-6615
NPI assigned
May 10, 2017
Last updated
May 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 008339 GA Primary

Addresses

Primary practice location

4425 Paulsen St
Savannah, GA 31405-3662

Mailing address

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

Other practice location 1

459 Highway 119 S
Springfield, GA 31329-3021
Phone (912) 754-0175

Other practice location 2

101 St Josephs Candler Dr Fl 1
Pooler, GA 31322-9579
Phone (912) 355-6615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170605001153 GA Practitioner - Physician Assistant 2668749128 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floyd Physicians LLCGroup PAC ID 6406852375, 62 clinicians
Procare Wellness Network IncGroup PAC ID 0547644841, 13 clinicians
Southern Urgent Care LLCGroup PAC ID 4082802509, 5 clinicians

Practice addresses (Care Compare)

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000

330 Turner McCall Blvd SW
Suite 2000
Rome, GA 30165-5618
Phone (706) 291-5360

340 Eisenhower Dr
BLDG 500
Savannah, GA 31406-1600
Phone (912) 348-3818

4717 US Hwy 80 E
Suite H I
Savannah, GA 31410-2944
Phone (912) 898-2227

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008339GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Urgent Care LLC Current Accepting new patients
American Current Care P.a. CurrentSince Oct 8, 2025 Accepting new patients
American Current Care PA CurrentSince Oct 8, 2025 Accepting new patients

Locations

688 Spring St NW
Atlanta, GA 30308
Phone (404) 881-1155

Interoperability endpoints

  • Direct secure messaging: jason.miller.1@14883.direct.athenahealth.com
  • Direct secure messaging: jmiller3003313@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1023544111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-355-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-355-6615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "459 Highway 119 S",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "313293021",
            "country_code": "US",
            "telephone_number": "912-754-0175",
            "fax_number": "912-754-6395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 St Josephs Candler Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313229579",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JASON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "008339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.